DR. JUDITH GRACIA GRAVES


Address: 397 Whites Hill Drive, Van Alstyne, TX 75495
Phone: 2147337985

DR. JUDITH GRACIA GRAVES (NPI# 1215037833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215037833
Entity Type Individual
Full Name DR. JUDITH GRACIA GRAVES
Credential M.D.
Practice Address 397 Whites Hill Drive
Van Alstyne
TX 75495
Mailing Address 1000 Fm 300
Levelland
TX 79336-6235
Practice Telephone 2147337985
Practice Fax Number 2147337985
Mailing Telephone 8068947842
Mailing Fax Number 8068943378
Enumeration Date 2006-09-24
Last Update Date 2018-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice J5158 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 397 WHITES HILL DRIVE
City VAN ALSTYNE
State TX
Zip Code 75495

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City VAN ALSTYNE
Zip Code 75495

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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